| Entity Name: | FLORIDA SPINE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Jun 2016 (9 years ago) |
| Document Number: | L16000123686 |
| FEI/EIN Number | 82-0835183 |
| Address: | 670 GLADES ROAD, 200, BOCA RATON, FL, 33431, US |
| Mail Address: | 670 GLADES ROAD, 200, BOCA RATON, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215789060 | 2024-04-04 | 2024-04-04 | 670 GLADES RD STE 200, BOCA RATON, FL, 334316464, US | 6000 N FEDERAL HWY, FORT LAUDERDALE, FL, 333082226, US | |||||||||||||||||||||||||
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| Phone | +1 561-495-9511 |
Authorized person
| Name | BRITTANY ROSARIO |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 5614959511 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Morris Jan MESQ | Agent | 6622 Patio Lane, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| ROBERT NORTON PA | Managing Member | 670 GLADES ROAD STE 200, BOCA RATON, FL, 33431 |
| BRIAN J. BURROUGH MD PA | Managing Member | No data |
| Name | Role | Address |
|---|---|---|
| Rosario Brittany | Auth | 5800 Corporate Way, West Palm Beach, FL, 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-03-20 | Morris, Jan Michael, ESQ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-20 | 6622 Patio Lane, BOCA RATON, FL 33433 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-03-26 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-03-22 |
| Florida Limited Liability | 2016-06-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
